Add a donation for St. Mark Coptic Orthodox Church of Houston
$
Number of Child Registrations
$165
Number of Servant Registrations
$165
Priest Registration
$165
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United States
Texas
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Parent 1 First & Last Name*
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Parent 2 First & Last Name (if applicable)
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LEGAL CONSENT:
I, ______________________________, as the parent, custodian, or legal guardian of the child registered above, “Minor” or “Participant,” hereby voluntarily releases, discharges, waives, and relinquishes any and all claims for loss, damage or causes of action for including but not limited to property damage and personal injury occurring to the Participant as a result of Participant’s participation in any activity, use of facilities, or use of equipment at the 2022 Winter Elementary Camp that is organized by Saint Mark Coptic Orthodox Church of Houston, and will be held at Forest Glen Camp in Huntsville Texas. I represent that I am the natural parent, custodian, legal guardian, or individual with the legal capacity to sign this Waiver, Consent and Release of Liability Form on behalf of Participant, binding myself, Participant, and Participant’s heirs, agents and all persons, natural and corporate, in privity with myself or Participant or both, from any and all claims or causes of action of any kind whatsoever, at common law, statutory or otherwise, that he has, or might have, known or unknown, now existing or that might arise hereafter, directly or indirectly attributable to the events and occurrences which shall transpire at the Church or in connection with the Church subsequent to the signing of this Waiver, Consent and Release. I HEREBY WAIVE, RELEASE, AND DISCHARGE the Church, its affiliates, trustees, officers, employees, volunteers, and servants for acts that include but are not limited to personal injury, property damage, disability, theft, emotional distress, wrongful death, and/or any actions of any kind which may occur to Participant while participating at an event with the Church after signing this Waiver, Consent and Release including but not limited to traveling to and from the Church. I HEREBY CONSENT to Participant receiving and adhering to any and all teachings of the Church as approved by the Bishop of the Coptic Orthodox Diocese of the Southern United States. I acknowledge that Participant’s participation in any activity with the Church may involve risks that require medical attention and by signing this Waiver, Consent, and Release, I am CONSENTING to the volunteers and/or servants of the Church to seek medical attention if necessary in their judgment including but not limited to hospitalization. Further, in such event I agree to release the Church, its affiliates, trustees, officers, employees, volunteers, and servants from any and all liability involving the medical treatment and I agree to pay for all fees associated with the medical treatment received by Participant. I expressly agree that this Waiver, Consent, and Release is intended to be as broad and inclusive as permitted by the laws of this state and that if any portion of this document is deemed invalid, the remainder of this document shall notwithstanding continue in full legal force and effect. I certify that I have read and understood this document; that I am aware this is a release of liability and a contract; that I am eighteen years of age or older, of sound mind, have authority to sign this document on behalf of myself and Participant, that I am competent to sign this document; and that I am signing this document of my own free will.*
I understand that Zeffy is NOT associated with St. Mark Houston and they will make an optional contribution request using the following statement: "Support the 100% free platform we use! ❤️️".*